Individual provider Active NPI

Marc R Imundo, MD

  • Ophthalmology Physician
  • Hempstead, NY
National Provider Identifier
1053303073
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
124361 Issued in NY
Practice address
230 Hilton Ave
Ste 107
Hempstead, NY 11550-8115
Phone
(516) 742-4442
Fax
(516) 505-0768
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 124361 NY Primary

Addresses

Primary practice location

230 Hilton Ave
Ste 107
Hempstead, NY 11550-8115

Mailing address

230 Hilton Ave
Ste 107
Hempstead, NY 11550-8115
Phone (516) 742-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000533 NY Practitioner - Ophthalmology 0547339038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marc R Imundo MD PCGroup PAC ID 9133299944, 2 clinicians

Practice addresses (Care Compare)

230 Hilton Ave
Suite 107
Hempstead, NY 11550-8116
Phone (516) 742-4442

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
124361NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marc R Imundo MD PC Ophthalmology CurrentSince Oct 15, 1975 Accepting new patients
Michael Politi DO PC Ophthalmology CurrentSince Mar 1, 2026 Accepting new patients

Locations

230 Hilton Ave
Ste 107
Hempstead, NY 11550
Phone (516) 481-6818

14 Glen Cove Rd
Ste 3
Roslyn Heights, NY 11577
Phone (516) 241-8201

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053303073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "STE 107",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-742-4442",
            "fax_number": "516-505-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 HILTON AVE",
            "address_2": "STE 107",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115508115",
            "telephone_number": "516-742-4442",
            "fax_number": "516-505-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMUNDO",
        "first_name": "MARC",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "124361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.